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Seanad Éireann debate -
Thursday, 23 Oct 1997

Vol. 152 No. 7

Nenagh (Tipperary) Hospital.

I thank you, a Chathaoirligh, for giving me the opportunity to raise this matter. I wish to express the concern of the people of Nenagh and surrounding communities about the future of their hospital. While the budget overrun of £374,000 is not excessive, the lack of clarity in the response of the health board to the reasons for it and how it will be addressed are causes of anxiety. A number of years ago Nenagh Hospital was threatened with closure and any difficulty encountered by it immediately raises the possibility that the hospital is being downgraded and its future is uncertain.

Public representatives know that in a community a hospital is not just a building or a set of figures on a page. It is an important part of any community, particularly to the elderly. It is unfortunate that the elderly in North Tipperary are most vulnerable due to this budget overrun. The elderly assessment unit is now subject to intermittent opening which has added to the climate of uncertainty. I know from my friends, neighbours and relatives how important it is to them to be able to visit their elderly relatives in Nenagh and not to have to go to Portlaoise or Limerick. It also makes a difference to the patient to know their neighbours can visit every day and take care of their emotional as well as physical needs. I want clarification on the future of the elderly assessment unit and on how the budget overrun will be dealt with.

Twelve temporary nurses have been placed on protective notice. The issue of how the female workforce in the caring professions is treated has been raised in a number of contexts. Unsurprisingly, the female workforce has become more vocal about its rights and future. There are nurses in my family and everyone knows the level of commitment given by them to their patients must be applauded, recognised and acknowledged. That is why there is generally a negative reaction when even temporary staff are issued with protective notice. The situation has been made more uncertain by the fact that there was a possibility of permanent jobs being made available.

In the context of the earlier debate on the report of the Ombudsman and the issue of information, the health board could have been more helpful in their communications. Three paragraph statements which raise more questions than they answer are no way to deal with the fears and uncertainties created in a community. I appeal to officials in the health board to remember that when they are dealing with reporters, journalists, members of the public and public representatives they should be forthcoming with information and dispel the climate of uncertainty and people's fears.

I am taking this Adjournment matter on behalf of my colleague, the Minister for Health and Children, Deputy Cowen.

I assure Senator O'Meara that the Minister is fully aware and appreciative of the services which Nenagh General Hospital, on behalf of the Mid-Western Health Board, provides to the population of the catchment area. Throughout the years, it has served the community well in areas such as surgery, intensive care and medicine and more recently in the provision of assessment facilities for older people.

As regards the specific matter of the assessment unit for older people raised by the Senator, the Minister understands from the Mid-Western Health Board that the unit at Nenagh General Hospital was closed on a temporary basis on 4 August 1997. The decision to implement the seasonal closure of the unit has been taken by the Mid-Western Health Board as a cost containment measure in the context of an overspend on allocation by the hospital.

When this decision was made by the Mid-Western Health Board, the board indicated that demand for beds would be monitored on a daily basis, and as a result of this, the unit was reopened on 6 October 1997, when patient numbers started to rise in line with the usual demand for beds heading into the winter.

The Minister has been informed by the Mid-Western Health Board that the nurses referred to by the Senator had been employed by the health board on a temporary basis to cover holiday and sick leave and that some of these nurses have since been re-employed at Nenagh Hospital as the need has arisen.

As the Senator is aware the Mid-Western Health Board is responsible for the budgetary allocation within its functional area and it is a matter for the board to determine the level of services which it intends to provide in each of its hospitals as part of its annual service plan.

The Seanad adjourned at 3.10 p.m. until 10.30 a.m. on Friday, 24 October 1997.

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